| NPI | 1114439585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADC.0001899) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017008) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0017008) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-12-11 |